Earthly Angels Home Care Services LLC

Primary specialty

Home Health AgencyTaxonomy code 251E00000X

Legal business name

EARTHLY ANGELS HOME CARE SERVICES LLC

Practice address

1706 Orileys Run
Winder, GA 30680-4912

Phone

(718) 362-7391

NPI assigned

Sep 7, 2022

Organization subpart

No

Registry information is reported by the provider to CMS and is not verified. About this source

Authorized official

Name

Ihenmwosa Daisy Eisiri Otaigbe

Title

Manager

Phone

(718) 362-7391

Specialties & licenses 1

Addresses

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1662508800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1662508800000",
    "number": "1033830138",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1706 ORILEYS RUN",
            "city": "WINDER",
            "state": "GA",
            "postal_code": "306804912",
            "telephone_number": "718-362-7391"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1706 ORILEYS RUN",
            "city": "WINDER",
            "state": "GA",
            "postal_code": "306804912",
            "telephone_number": "718-362-7391"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "EARTHLY ANGELS HOME CARE SERVICES LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2022-09-07",
        "last_updated": "2022-09-07",
        "certification_date": "2022-09-07",
        "status": "A",
        "authorized_official_last_name": "EISIRI OTAIGBE",
        "authorized_official_first_name": "IHENMWOSA",
        "authorized_official_middle_name": "DAISY",
        "authorized_official_title_or_position": "MANAGER",
        "authorized_official_telephone_number": "718-362-7391"
    },
    "taxonomies": [
        {
            "code": "251E00000X",
            "taxonomy_group": "",
            "desc": "Home Health",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

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• Home Health Agency in Winder, GA
• Providers in Winder, GA by specialty
• Home Health Agency in Georgia

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 7, 2022; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.